Alexander Eugene Ivanoff, DDS

Dentist · Sonoma, CA

Individual Active NPI

NPI number 1013018274

Practice location

17776 Highway 12
Sonoma, CA 95476-3629
Phone
(707) 935-8200
Fax
(707) 935-8272

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NPI record

NPI
1013018274
Entity type
Individual (Type 1)
Enumeration date
September 26, 2006
Last updated
May 6, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 26653 CA

Mailing address

4411 Lovall Valley Road
Sonoma, CA 95476-3629
Phone
(707) 938-1510
Fax
(707) 935-1425

About Dr. Ivanoff

Alexander Eugene Ivanoff, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 17776 Highway 12, Sonoma, CA 95476-3629. The NPI number 1013018274 was assigned on September 26, 2006 and the record was last updated on May 6, 2009.

Dr. Ivanoff lists a license in the registry: #26653 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alexander Eugene Ivanoff, DDS?

The NPI number is 1013018274.

What is the phone number of Dr. Ivanoff?

The phone number listed for the practice location is (707) 935-8200.

Where is Dr. Ivanoff located?

17776 Highway 12, Sonoma, CA 95476-3629.

What is the taxonomy code for Dr. Ivanoff?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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